EFTA00048998

| NYMH3 | 530*05 | * | INMATE | ROSTER | * | 08-09-2019 |
| :--- | :--- | :--- | :--- | :--- | :--- | :--- |
| PAGE | 001 | OF | 001 | | | 15:39:36 |

**CATEGORY:** OCT
**ASSIGNMENT:** FNYS
**FACILITY:** NYM

**OPER** CATG ASSIGNMENT OPER CATG ASSIGNMENT OPER CATG ASSIGNMENT

G0000

TRANSACTION SUCCESSFULLY COMPLETED



EFTA00048999


# UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS

# OFFICIAL OUT-COUNT FORM
Metropolitan Correctional Center
150 Park Row
New York, New York 10007

Date: 08-09-2019

Count Time: 4:00 pm

From: J. SMALL (Staff Member Supervising Inmates)

Location: FNYS

<table><thead><tr><th>Approved:</th></tr></thead><tbody><tr><td>pp</td><td>(Operations Lieutenant)</td></tr></tbody></table>



REG... LN...



FN...

QTR...

| 53358-054 | CLARK |

| :--- | :--- |

ROBERT

K11-056U





B-A ___ C-A ___ E-N ___ E-S ___ G-N ___ G-S ___

H-A ___ I-N ___ K-N ___ K-S ___ 1 ___ R-A ___ Z-A ___ Z-B ___



Total Out-Counted: 1

This Form must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRIOR To The affected count. Prepare this form in ink. Group the inmates according to their respective housing units. This is to be used only as an Out Count.